Michael Deyett

The Ambulatory Specialty Model isn't an opt-in APM — it's mandatory two-sided risk selected by TIN/NPI, with no application and no opt-out. Cardiology, orthopedics, neurosurgery, PM&R, pain management, and anesthesiology practices need to check now whether they're already on the participant list, because the first payment adjustments — up to ±9% of all Part B billing — land in 2029. Here's how the scoring actually works, and what the CY 2027 proposed rule changes.

CMS's CY 2027 PFS proposed rule finally addresses the ACO problem everyone's been living with: specialty TINs whose EHRs can't support APP Plus measures. Here's what the proposed 95% exclusion floor, the new Medicare eCQM collection type, and the rewritten CEHRT use requirements mean for your ACO's PY 2026 and PY 2027 strategy.

CMS's CY 2027 PFS proposed rule puts a date on traditional MIPS: two performance years left before MVPs become the only option. At the same time, it eliminates the high priority measure designation and replaces it with a 78-measure core list — a bigger operational shift than the sunset date itself. Here's what both changes mean for your measure selection and MVP transition strategy.